Last month, Susquehanna Valley Community Mental Health Services, which opened in March 2015, shared a GoFundMe on its Facebook page.

"The state has not approved billing for our Hanover office or the homeless shelter," read the post. "We may have to close our doors."

The healthcare provider, which has offices in York and Hanover, received billing approval Sept. 30. But because the nonprofit could not bill many of its customers for four months, it is still in danger of closing.

If that happens, about 200 people will lose their access to mental health care, according to the GoFundMe.

Susquehanna Valley Community Mental Health Services provides walk-in and on-site mental health care at a local women and children's shelter, York Rescue Mission, and outpatient services in its Hanover office on Broadway.

Services include treatment for trauma and substance abuse, group therapy and psychological evaluations for homeless individuals, veterans and other underserved populations. It will offer free services to those whose incomes are below the poverty level.

The health service provider applied in May to enroll its Hanover office and women and children's shelter in Medical Assistance, CEO Shari Kim said. But the application got mixed in with an influx of applications from providers that needed to re-enroll for Medical Assistance after five years -- a requirement of the Affordable Care Act.

Kim said Pennsylvania Department of Human Services employees were coming in on evenings and weekends to get through the applications.

Rep. Kevin Schreiber, D-York, helped the nonprofit get its application pushed through the system in order to get the billing approval it needed, according to a spokesman from his office.

Because of the delay, employees covered some costs in order to continue providing services.

Kim said the health services provider is "not in a good place financially."

"We’ve had staff members use their own personal credit cards to cover their payroll," she said. "It’s definitely hurt us."

Back billing has come through for the four months lost, but that only covers $9,000 of the $16,000 deficit the service faces this quarter.

Kim said they're "in a tenuous period right now," because the service is so small and new. "It hit us harder than it would have a bigger agency."

If the deficit remains large, ​the nonprofit could close within a month.

The health service provider has kept the GoFundMe open to help close its deficit so it can remain in operation.

Kim and staff had hoped to be able to expand to other shelters with their services. For now, they just hope to raise enough money to afford payment for employees and needed equipment. The GoFundMe had raised $315 as of Thursday morning.

"Our mission has been to provide services to everyone who comes into the door," she said. "We want to be able to continue to provide those services to everybody."